Active NPI
Alexa Yannin Tanner, RD, MPH
- Registered Dietitian
- Provo, UT
National Provider Identifier
1104737980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 149 S 500 W
Provo, UT 84601-4242 - Phone
- (208) 949-5685
- NPI assigned
- Sep 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | UT | Primary |
Addresses
Primary practice location
149 S 500 W
Provo, UT 84601-4242
Mailing address
149 S 500 W
Provo, UT 84601-4242
Phone (208) 949-5685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1104737980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 S 500 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846014242",
"telephone_number": "208-949-5685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 S 500 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846014242",
"telephone_number": "208-949-5685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "ALEXA",
"middle_name": "YANNIN",
"credential": "RD, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.